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Updated: Sep 2, 2025
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
16.9K
Unilateral cleft nose deformities at adulthood.
S L Assouline-Vitale1, L Ruffenach1, F Bodin1
1Department of Oro-Maxillofacial and Plastic Surgery, Strasbourg University Hospital, Hôpital Hautepierre, 1, avenue Molière, 67200 Strasbourg, France.
Annales De Chirurgie Plastique Et Esthetique
|August 4, 2022
Summary
This study introduces a new scale to evaluate nasal deformities in patients with unilateral cleft lip and palate (UCLP) before secondary rhinoplasty. The reliable tool helps diagnose issues and assess surgical outcomes.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Otorhinolaryngology
Background:
- Secondary rhinoplasty for unilateral cleft lip and palate (UCLP) requires accurate preoperative diagnosis of nasal deformities.
- Currently, no standardized outcome measurement tool exists for assessing UCLP nose sequelae prior to secondary rhinoplasty.
Purpose of the Study:
- To identify and rate nasal deformities in UCLP patients.
- To develop and validate an evaluation scale for collecting and analyzing cleft nose data.
Main Methods:
- Retrospective cohort study of 29 UCLP patients undergoing secondary rhinoplasty (2010-2021).
- Preoperative 2D photography assessed using a custom 16-item scale with a binary scoring system by two experts.
- Inter-examiner reliability assessed using the intraclass correlation coefficient (ICC).
Main Results:
- The most frequent deformities were alar foot displacement (93%), enlarged nasal tip (90%), and nostril horizontalization (86%).
- The custom assessment scale demonstrated strong inter-examiner reliability (ICC = 0.911, P<0.05).
Conclusions:
- The proposed photographic assessment system is simple, reliable, and reproducible for diagnosing nasal deformities in UCLP patients.
- This tool can aid clinicians in preoperative diagnosis, postoperative success evaluation, and comparison of surgical techniques for secondary rhinoplasty.
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